[Advances in diagnosis and treatment of acute scaphoid fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi

Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, 200040, P.R.China.

Published: April 2019

AI Article Synopsis

  • The review focuses on the diagnosis and treatment advancements for acute scaphoid fractures, which are common hand injuries.
  • Scaphoid fractures are classified as either undisplaced/stable or displaced/unstable, with CT and MRI being the best diagnostic tools.
  • Early diagnosis and appropriate treatment based on fracture type are crucial for successful recovery, with plaster immobilization for stable fractures and open reduction/internal fixation for unstable ones.

Article Abstract

Objective: To review the advances in diagnosis and treatment of acute scaphoid fractures.

Methods: The characteristic, classification, diagnosis, and treatment of acute scaphoid fractures were reviewed and summarized.

Results: As one of the common fracture in hand, scaphoid fractures are generally classified as either undisplaced and stable or displaced and unstable. CT and MRI has best diagnostic specificity and sensitivity respectively. Most undisplaced and stable fractures can be treated successfully by plaster immobilization, whereas the displaced and unstable fractures have great prognosis after open reduction and internal fixation.

Conclusion: Acute scaphoid fractures should be diagnosed and treated at an early stage, and choose the appropriate treatment according to the location and stability of the fracture.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8337181PMC
http://dx.doi.org/10.7507/1002-1892.201811057DOI Listing

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